title: Motor and sensory rehabilitation after lower limb amputation: state of art and perspective of change.
abstract: The rehabilitation of the amputated patient is based on a coordinated sequence of diagnostic, prognostic and therapeutic procedures carried out by an interdisciplinary rehabilitation team, that works globally on all patient problems. The objectives of the different phases of the rehabilitation treatment were reviewed. Due to their relevance in conditioning the final outcome of the treatment, aspects requiring further studies and remarks, were also reviewed. Among these the psychological aspects, the alterations of all sensory inputs, the secondary alterations at the bone, articular and muscular level, pain of the residual limb and the phantom limb. Finally, the basic criteria to be used to choose the kind of prosthesis in relation to the characteristics and expectations of the amputated person, and the results of the recovery of the autonomy and walking ability, will be schematically described.
authors.affiliation: Dept of Neuromotor Rehabilitation III, Foundation S. Maugeri IRCCS, Pavia, Italy. roberto.casale@fsm.it
authors.forename: Roberto
authors.initials: R
authors.lastname: Casale
authors.forename: Maurizio
authors.initials: M
authors.lastname: Maini
authors.forename: Ornella
authors.initials: O
authors.lastname: Bettinardi
authors.forename: Alaa
authors.initials: A
authors.lastname: Labeeb
authors.forename: Vanessa
authors.initials: V
authors.lastname: Rosati
authors.forename: Carlo
authors.initials: C
authors.lastname: Damiani
authors.forename: Maryam
authors.initials: M
authors.lastname: Mallik
mesh_terms: D000671:Amputation, Surgical / Q000523:psychology / Q000534:rehabilitation*; D000674:Amputees / Q000534:rehabilitation*; D006801:Humans; D035002:Lower Extremity; D010146:Pain / Q000534:rehabilitation*; D010348:Patient Care Team; D010591:Phantom Limb / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D017410:Practice Guidelines as Topic; D011379:Prognosis; D019736:Prostheses and Implants